Repeated transfusions of autologous cytokine-induced killer cells for treatment of haematological malignancies in elderly patients: a pilot clinical trial.

作者: Bo Yang , Xue-chun Lu , Rui-li Yu , Xiao-hua Chi , Yang Liu

DOI: 10.1002/HON.1012

关键词:

摘要: The elderly population is susceptible to haematological malignancies, and these patients are intolerant cytotoxic drugs. Therefore, the exploration of a safe reliable strategy exclusive chemotherapy critical in improving prognosis with malignancies. We evaluated safety efficacy autologous cytokine-induced killer (CIK) cells combined recombinant human interleukin 2 (rhIL-2) treatment malignancies patients. Peripheral blood mononuclear were isolated from 20 then augmented by priming interferon gamma, rhIL-2 CD3 monoclonal antibody. CIK (2-3 × 10(9)) transfused back patients, followed subcutaneous injection IL-2 (1 mU/day) for 10 consecutive days. regimen was repeated every 4 weeks. host cellular immune function, tumour-related biological parameters, imaging characteristics, disease condition, quality life survival time assessed. Fourteen received 8 cycles transfusion 6 cycles. No adverse effects observed. percentages CD3(+), CD3(+) CD8(+) CD56(+) significantly increased (p < 0.05), levels serum β2 microglobulin lactate dehydrogenase (LDH) markedly decreased 0.05) after cell transfusion. Cancer-related symptoms profoundly alleviated, as demonstrated improved 0.01). Complete remission observed 11 persistent partial 7 stable At end follow-up, mean months. Transfusion plus effective treating

参考文章(27)
Peter Greenberg, Christopher Cox, Michelle M. LeBeau, Pierre Fenaux, Pierre Morel, Guillermo Sanz, Miguel Sanz, Teresa Vallespi, Terry Hamblin, David Oscier, Kazuma Ohyashiki, Keisuke Toyama, Carlo Aul, Ghulam Mufti, John Bennett, International Scoring System for Evaluating Prognosis in Myelodysplastic Syndromes Blood. ,vol. 89, pp. 2079- 2088 ,(1997) , 10.1182/BLOOD.V89.6.2079
Ming Shi, Bing Zhang, Zi-Rong Tang, Zhou-Yun Lei, Hui-Fen Wang, Yong-Yi Feng, Zhen-Ping Fan, Dong-Ping Xu, Fu-Sheng Wang, Autologous cytokine-induced killer cell therapy in clinical trial phase I is safe in patients with primary hepatocellular carcinoma World Journal of Gastroenterology. ,vol. 10, pp. 1146- 1151 ,(2004) , 10.3748/WJG.V10.I8.1146
L. L. Lanier, M. Tutt, Vinay Kumar, J. Hackett, J. H. Phillips, Natural killer cells: definition of a cell type rather than a function Journal of Immunology. ,vol. 137, pp. 2735- 2739 ,(1986)
Bruce D. Cheson, Sandra J. Horning, Bertr Coiffier, Margaret A. Shipp, Richard I. Fisher, Joseph M. Connors, T. Andrew Lister, Julie Vose, Antonio Grillo-López, Anton Hagenbeek, Fernando Cabanillas, Donald Klippensten, Wolfgang Hiddemann, Ronald Castellino, Nancy L. Harris, James O. Armitage, William Carter, Richard Hoppe, George P. Canellos, Report of an International Workshop to Standardize Response Criteria for Non-Hodgkin's Lymphomas Journal of Clinical Oncology. ,vol. 17, pp. 1244- 1244 ,(1999) , 10.1200/JCO.1999.17.4.1244
Paola Olioso, Raffaella Giancola, Maria Di Riti, Alessandro Contento, Patrizia Accorsi, Antonio Iacone, Immunotherapy with cytokine induced killer cells in solid and hematopoietic tumours: a pilot clinical trial. Hematological Oncology. ,vol. 27, pp. 130- 139 ,(2009) , 10.1002/HON.886
Vittorina Zagonel, Silvio Monfardini, Umberto Tirelli, Antonino Carbone, Antonio Pinto, Management of hematologic malignancies in the elderly: 15-year experience at the Aviano Cancer Center, Italy Critical Reviews in Oncology Hematology. ,vol. 39, pp. 289- 305 ,(2001) , 10.1016/S1040-8428(00)00126-8
Daniele Bernardi, Domenico Errante, Umberto Tirelli, Luigi Salvagno, Antonio Bianco, Ian S. Fentiman, Insight into the treatment of cancer in older patients: Developments in the last decade Cancer Treatment Reviews. ,vol. 32, pp. 277- 288 ,(2006) , 10.1016/J.CTRV.2006.03.005
I. G. H. Schmidt-Wolf, P. Lefterova, V. Johnston, D. Huhn, K. G. Blume, R. S. Negrin, PROPAGATION OF LARGE NUMBERS OF T CELLS WITH NATURAL KILLER CELL MARKERS British Journal of Haematology. ,vol. 87, pp. 453- 458 ,(1994) , 10.1111/J.1365-2141.1994.TB08297.X
G. Cartei, G. Sava, G. Salerno, A. Bergamo, F. Cartei, M. Sanzari, P.G. Sala, E. Vigevani, G. Tabaro, L. Clocchiatti, Synthetic thymic fraction 5: effects of high dose administration on circulating lymphocytes in patients. Cancer Biotherapy and Radiopharmaceuticals. ,vol. 11, pp. 105- 111 ,(1996) , 10.1089/CBR.1996.11.105
Vijay K. Singh, Sumita Biswas, Krishna B. Mathur, Wahajul Haq, Satyendra K. Garg, Shyam S. Agarwal, Thymopentin and splenopentin as immunomodulators Immunologic Research. ,vol. 17, pp. 345- 368 ,(1998) , 10.1007/BF02786456